The relationship between the presence of lower urinary tract symptoms and waist circumference

Oliveira, Maria Clara Eugênia de; Varella, Larissa Ramalho Dantas; Angelo, Priscylla Helouyse; Micussi, Maria Thereza Albuquerque Barbosa Cabral

doi:10.2147/dmso.s106221

Cited by 13 publications

(9 citation statements)

References 29 publications

(34 reference statements)

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“…9,22 Previously published research has proved that patients with a higher BMI, larger waist circumference, and obesity were more likely to develop LUTs than controls. 12,13,27 In the current study, the results that participants with SUI had a higher BMI and larger waist circumference were consistent with these findings. It is reported that women with larger abdominal diameter had a higher frequency of LUTS.…”

Section: Discussionsupporting

confidence: 88%

The Frequency of Metabolic Syndrome in Aged Female Patients (Older Than 65 Years) With and Without Stress Urinary Incontinence: A Case-Control Study

Wang

Liao²,

Gao³

et al. 2021

Female Pelvic Med Reconstr Surg

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The aim of the study was to assess the incidence of metabolic syndrome (MetS) in aged patients (older than 65 years) with and without stress urinary incontinence (SUI). Methods: We evaluated the components of MetS in 460 SUI patients and 460 age-matched women without urinary incontinence from January 2009 to October 2019. Stress urinary incontinence was diagnosed by clinical complaint and the presence of involuntary urine leakage during physical activity. Definition of MetS was on the basis of the National Cholesterol Education Program Adult Treatment Panel III recommendations definition (NCEPATPIII) and the International Diabetes Federation criteria (IDF).Results: Totally, 460 SUI patients with the median age of 70 years were eventually included in the study. Subsequently, 460 age-matched controls were selected. The prevalence of MetS was more frequent in SUI patients based on the NCEPATPIII (43.04% vs 19.78%, P < 0.0001) and IDF criteria (45.22% vs 20.22%, P < 0.0001). Moreover, logistic regression analysis revealed that MetS significantly increased the risk of SUI (odds ratio = 3.06, 95% confidence interval = 2.28-4.09) according to the NCEPATPIII definition and (odds ratio = 3.26, 95% confidence interval = 2.43-4.34) on the basis of IDF criteria compared with controls. Patients in the SUI group had a statistically higher body mass index ( P < 0.0001), larger waist ( P < 0.0001), higher level of fasting blood glucose ( P = 0.0001), triglycerides ( P = 0.00), and systolic blood pressure ( P = 0.0001) than controls. Patients with SUI demonstrated a statistically worse symptom score in all aspects compared with controls ( P < 0.0001). Conclusions:The prevalence of MetS was higher in older women with SUI than in an age-and sex-matched control group without clinical SUI. Further studies are warranted to determine the pathophysiology mechanism of SUI and MetS.

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Section: Discussionsupporting

confidence: 88%

The Frequency of Metabolic Syndrome in Aged Female Patients (Older Than 65 Years) With and Without Stress Urinary Incontinence: A Case-Control Study

Wang

Liao²,

Gao³

et al. 2021

Female Pelvic Med Reconstr Surg

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“…20 Based on the results obtained, the higher the BMI, the higher the risk of nocturia in women, which is in agreement with the literature. [5][6][7][8]21,22 Women over age 45 years are in the peri-and postmenopausal periods, in which there is a weight gain due to metabolic changes. Added to that is the association of obesity with chronic diseases and, consequently, the use of medications to treat them, and with an increased risk for OSA, all factors associated with nocturia.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and associated factors in community-dwelling subjects - a population-based study

Cruz

Garcia-Rosa

Faria

2020

Rev. Assoc. Med. Bras.

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SUMMARY OBJECTIVES To assess the prevalence of nocturia and identify factors associated with it in a community-dwelling population. METHODS A cross-sectional study was conducted in subjects aged 45 years or more and registered with a Family Doctor Program. Information was collected about nocturia, other urinary symptoms, physical examination, co-morbidities, demographics, socio-economic, and lifestyle factors. Multiple logistics regression models were developed to analyze associated factors for nocturia according to gender and the number of nocturnal micturitions(≥1 and ≥2). RESULTS Out of the 661 individuals included in the study, 62.3% were women. Among the women, the prevalence rates for nocturia ≥1 time and ≥2 times were, respectively, 68.4% and 49%, whereas, among the men, they were 64.3% and 43.8%. Among the women, nocturia ≥1 time was associated with brown skin, a higher BMI, lower schooling, and calcium channel blockers(CCB) use, while nocturia ≥2 times showed association with higher BMI, lower schooling, obstructive sleep apnea (OSA), and the use of CCB. Among the men, nocturia ≥1 time was associated positively with age, alcohol intake, and OSA, and negatively with angiotensin receptor blockers and beta-blockers use. Besides, nocturia ≥2 times was associated with age, not having health insurance, and OSA. CONCLUSIONS Nocturia is a condition highly prevalent in the studied population. For the female subjects, a higher BMI, lower schooling, and the use of CCB were associated with nocturia regardless of the definition used, whereas, among the men, that same association was found with age, not having health insurance, and OSA.

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“…However, literature shows that manometric measurements vary in women, according to the delivery type and the reported race [ 21 ]. It has also been shown that increased waist circumference is associated with decreased manometric values [ 28 ].…”

Section: Discussionmentioning

confidence: 99%

A manometry classification to assess pelvic floor muscle function in women

et al. 2017

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ObjectiveTo develop a classification scale for manometry of pelvic floor muscles (PFM) in Brazilian women, according to the modified Oxford scale.MethodsA cross sectional study, with 288 women enrolled in the Maternity, Natal, Brazil. Manometry and PFM strength data were collected and classified according to the modified Oxford scale. A simple linear regression was performed to determine the classification scale of manometry using the modified Oxford scale as the explanatory variable and the arithmetic mean of the manometry measurements as the response variable.ResultsThe average age was 52.80 (±8.78; CI: 51.67–53.93) years. Manometry showed an average of 35.1 (±22.7; CI: 32.1–38.0) cmH2O and most women (29.7%) scored grade 3 on the modified Oxford scale. According to the proposed scale, values between 7.5 to 14.5 cmH2O correspond to very weak pressure; 14.6 to 26.5 cmH2O represent weak pressure; 26.6 to 41.5 cmH2O represent moderate pressure; 41.6 to 60.5 cmH2O represent good pressure, and values above 60.6 cmH2O correspond to strong pressure.ConclusionManometry values were rated on a five-point scale. It is possible to rank the pressure levels performed by voluntary contraction of PFM with this new scale.

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The relationship between the presence of lower urinary tract symptoms and waist circumference

Cited by 13 publications

References 29 publications

The Frequency of Metabolic Syndrome in Aged Female Patients (Older Than 65 Years) With and Without Stress Urinary Incontinence: A Case-Control Study

The Frequency of Metabolic Syndrome in Aged Female Patients (Older Than 65 Years) With and Without Stress Urinary Incontinence: A Case-Control Study

Prevalence and associated factors in community-dwelling subjects - a population-based study

A manometry classification to assess pelvic floor muscle function in women

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